CN111658173B - Rib fracture orthostatic fixing device for thoracic surgery - Google Patents
Rib fracture orthostatic fixing device for thoracic surgery Download PDFInfo
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- CN111658173B CN111658173B CN202010557229.0A CN202010557229A CN111658173B CN 111658173 B CN111658173 B CN 111658173B CN 202010557229 A CN202010557229 A CN 202010557229A CN 111658173 B CN111658173 B CN 111658173B
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- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B90/00—Instruments, implements or accessories specially adapted for surgery or diagnosis and not covered by any of the groups A61B1/00 - A61B50/00, e.g. for luxation treatment or for protecting wound edges
- A61B90/10—Instruments, implements or accessories specially adapted for surgery or diagnosis and not covered by any of the groups A61B1/00 - A61B50/00, e.g. for luxation treatment or for protecting wound edges for stereotaxic surgery, e.g. frame-based stereotaxis
- A61B90/14—Fixators for body parts, e.g. skull clamps; Constructional details of fixators, e.g. pins
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- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B90/00—Instruments, implements or accessories specially adapted for surgery or diagnosis and not covered by any of the groups A61B1/00 - A61B50/00, e.g. for luxation treatment or for protecting wound edges
- A61B90/10—Instruments, implements or accessories specially adapted for surgery or diagnosis and not covered by any of the groups A61B1/00 - A61B50/00, e.g. for luxation treatment or for protecting wound edges for stereotaxic surgery, e.g. frame-based stereotaxis
- A61B90/11—Instruments, implements or accessories specially adapted for surgery or diagnosis and not covered by any of the groups A61B1/00 - A61B50/00, e.g. for luxation treatment or for protecting wound edges for stereotaxic surgery, e.g. frame-based stereotaxis with guides for needles or instruments, e.g. arcuate slides or ball joints
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Abstract
The invention discloses a rib fracture orthostatic fixing device for thoracic surgery, which comprises a supporting plate, wherein a first movable groove is formed in the outer side wall of the supporting plate, and a movable block and a first adjusting device for driving the movable block to move back and forth are arranged in the first movable groove; the outer side wall of the moving block is fixedly connected with a moving plate, the outer side wall of the moving plate is provided with a second moving groove, and a moving plate and a second adjusting device for driving the moving plate to move up and down are arranged in the second moving groove. According to the invention, through the mutual matching among the supporting plate, the first movable groove, the servo motor, the first threaded rod and the moving block, the first threaded rod can be driven to rotate forwards and backwards through the forward and reverse rotation of the servo motor, so that the moving block can move forwards and backwards along the first threaded rod, the position of the moving plate can be integrally adjusted, the positioning plate can be accurately positioned to a fracture part, and convenience is brought to the accurate positioning work of medical personnel.
Description
Technical Field
The invention relates to the technical field of medical instruments, in particular to a rib fracture orthostatic fixing device for thoracic surgery.
Background
The thoracic surgery department is a medical special department, and is specially used for researching diagnosis and treatment of pathological changes of organs in a thoracic cavity, mainly esophagus, lung and mediastinum, wherein rib fractures are frequently encountered in the treatment process of the thoracic surgery department, and an internal steel plate is needed for fixing in the treatment process of the rib fractures, so that the positioning requirement on the steel plate is high in the operation process, and the treatment effect is directly influenced.
Fixing device who uses among the present rib fracture treatment process, two splint cooperations about need when using, at first need fix the lower plate, rotate the position of adjusting the punch holder again, reach fixed purpose, however, the position of through-hole is comparatively fixed, can't be as required more accurate location punch position, and simultaneously, the size of punch holder and lower plate is fixed, can't fix a position accurate position in real time according to the fracture position, easily bring great discomfort for the patient, also bring inconvenience for medical personnel's positioning work, for this reason, we have designed a thoracic surgery rib fracture normal position fixing device and have solved above-mentioned problem.
Disclosure of Invention
The invention aims to solve the problem that the rib fracture orthostatic fixing device in the prior art is poor in accurate positioning effect, and provides a rib fracture orthostatic fixing device for thoracic surgery.
In order to achieve the purpose, the invention adopts the following technical scheme:
a rib fracture orthostatic fixing device for thoracic surgery comprises a supporting plate, wherein a first movable groove is formed in the outer side wall of the supporting plate, and a movable block and a first adjusting device for driving the movable block to move back and forth are arranged in the first movable groove; the outer side wall of the moving block is fixedly connected with a moving plate, the outer side wall of the moving plate is provided with a second moving groove, and a moving plate and a second adjusting device for driving the moving plate to move up and down are arranged in the second moving groove; two symmetrically arranged mounting plates are fixedly connected to one side of the movable plate, which is far away from the movable plate, and two mounting blocks and a third adjusting device for driving the mounting blocks to move back and forth are arranged between the two mounting plates; the bottom of the mounting block is fixedly connected with a vertical rod, the outer side wall of the vertical rod is fixedly connected with two first positioning blocks, the outer side wall of each first positioning block is rotatably connected with an arc-shaped plate, and the outer side wall of the vertical rod is provided with a pulling mechanism matched with the arc-shaped plate; and one opposite side of the two mounting blocks is connected with a positioning plate through a clamping mechanism.
Preferably, first adjusting device includes the bearer bar with backup pad rear side wall fixed connection, bearer bar inside wall fixed connection has servo motor, first activity inslot inside wall rotates and is connected with two first threaded rods, the movable block screw thread cup joints on the lateral wall of two first threaded rods, two the rear end of first threaded rod extends to in the bearer bar and connects through belt transmission, one of them first threaded rod rotates with the bearer bar inside wall to be connected, another one first threaded rod and servo motor output fixed connection.
Preferably, two the first threaded rod lateral wall all fixedly cup joints the belt pulley with belt looks adaptation, the belt pulley is located the bearer bar.
Preferably, the second adjusting device comprises a second threaded rod which is vertically arranged, the bottom of the second threaded rod is rotatably connected with the inner side wall of the second movable groove, the top of the second threaded rod penetrates through the second movable groove and is connected with a handle, and the movable plate is sleeved on the outer side wall of the second threaded rod in a threaded manner.
Preferably, the third adjusting device comprises a bidirectional threaded rod, two ends of the bidirectional threaded rod are respectively rotatably connected with the outer side walls of the two mounting blocks, and the two symmetrical threads of the mounting blocks are sleeved on the outer side walls of the bidirectional threaded rod.
Preferably, two fixedly connected with roof between the mounting panel, mounting block top fixedly connected with slider, the spout with slider looks adaptation is seted up to the roof lower surface.
Preferably, a graduated scale is fixedly connected to the upper surface of the movable plate, and the edge of the graduated scale is flush with one side of the movable plate close to the mounting plate.
Preferably, pulling mechanism establishes the screw thread section of thick bamboo outside the montant including the cover, screw thread section of thick bamboo top is connected with installation piece lower surface rotation, screw thread section of thick bamboo lateral wall screw has cup jointed a removal section of thick bamboo, remove two second locating pieces of a section of thick bamboo lateral wall fixedly connected with, second locating piece lateral wall rotates and is connected with the regulation pole, it rotates and is connected with the regulating block, two to adjust the pole bottom the regulation mouth with two regulating block looks adaptations is seted up respectively to the arc lateral wall.
Preferably, the clamping mechanism comprises L-shaped plates fixedly connected with the outer side wall of the mounting block, two limiting clamping plates are fixedly connected to one opposite sides of the L-shaped plates, and clamping grooves matched with the limiting clamping plates are formed in the outer side walls of the positioning plates.
Compared with the prior art, the invention has the beneficial effects that:
1. through mutually supporting between backup pad, first movable groove, servo motor, first threaded rod and the movable block, utilize servo motor's positive and negative rotation can drive first threaded rod positive and negative rotation, and then make the movable block along first threaded rod back-and-forth movement, the position of holistic regulation movable plate, and then can be with accurate location to fracture department of locating plate, the accurate location work of giving medical personnel has brought the facility.
2. Through mutually supporting between second threaded rod, second activity groove, movable plate and the fly leaf, utilize the rotation of second threaded rod to drive the fly leaf and wholly reciprocate, and then can adjust the high position of locating plate according to different patients 'size, further brought the facility for medical personnel's location work.
3. Through the installation piece, two-way threaded rod, the montant, a threaded section of thick bamboo, a removal section of thick bamboo, adjust mutually supporting between pole and the regulating block, the rotation that utilizes two-way threaded rod can be according to the distance between two installation pieces of the size adjustment of locating plate, and simultaneously, the rotation that utilizes a threaded section of thick bamboo can drive a removal section of thick bamboo and reciprocate, and then can change the angle between two adjacent arcs, the arc of being convenient for supports the waist of rib both sides tightly, when making things convenient for medical personnel accurate location, patient's discomfort has also effectively been alleviateed.
Drawings
FIG. 1 is a schematic structural view of a rib fracture orthostatic fixing device for thoracic surgery according to the present invention;
FIG. 2 is a top view of a movable plate of the rib fracture orthostatic fixing device for thoracic surgery according to the present invention;
FIG. 3 is a schematic view of a connection structure of a mounting block and a second adjusting device in the rib fracture orthophoric fixing device for thoracic surgery according to the present invention;
FIG. 4 is a schematic view of the connection structure of the arc-shaped plate and the pulling mechanism in the rib fracture orthostatic fixing device for thoracic surgery according to the present invention;
FIG. 5 is a schematic view of the internal structure of a protective frame of the rib fracture orthostatic fixing device in thoracic surgery according to the present invention;
fig. 6 is a front view of a rib fracture orthostatic fixing device for thoracic surgery according to the present invention.
In the figure: 1. a support plate; 2. a first movable slot; 3. a moving block; 4. moving the plate; 5. a second movable slot; 6. a movable plate; 7. mounting a plate; 8. mounting blocks; 9. a vertical rod; 10. a first positioning block; 11. an arc-shaped plate; 12. positioning a plate; 13. a protective frame; 14. a servo motor; 15. a first threaded rod; 16. a belt; 17. a second threaded rod; 18. a handle; 19. a bidirectional threaded rod; 20. a top plate; 21. a slider; 22. a chute; 23. a graduated scale; 24. a threaded barrel; 25. moving the drum; 26. a second positioning block; 27. adjusting a rod; 28. an adjusting block; 29. an adjustment port; 30. an L-shaped plate; 31. spacing cardboard.
Detailed Description
The technical solutions in the embodiments of the present invention will be clearly and completely described below with reference to the drawings in the embodiments of the present invention, and it is obvious that the described embodiments are only a part of the embodiments of the present invention, and not all of the embodiments.
In the description of the present invention, it is to be understood that the terms "upper", "lower", "front", "rear", "left", "right", "top", "bottom", "inner", "outer", and the like, indicate orientations or positional relationships based on the orientations or positional relationships shown in the drawings, are merely for convenience in describing the present invention and simplifying the description, and do not indicate or imply that the device or element being referred to must have a particular orientation, be constructed and operated in a particular orientation, and thus, should not be construed as limiting the present invention.
Referring to fig. 1-6, a rib fracture orthostatic fixing device for thoracic surgery comprises a supporting plate 1, a first movable groove 2 is formed in the outer side wall of the supporting plate 1, and a moving block 3 and a first adjusting device for driving the moving block 3 to move back and forth are arranged in the first movable groove 2.
Specifically, first adjusting device includes the bearer bar 13 with backup pad 1 rear side wall fixed connection, bearer bar 13 inside wall fixed connection has servo motor 14, 2 inside walls of first movable groove rotate to be connected with two first threaded rods 15, 3 screw sockets of movable block are on the lateral wall of two first threaded rods 15, the rear end of two first threaded rods 15 extends to bearer bar 13 in and through the transmission of belt 16 and connect, one of them first threaded rod 15 rotates with bearer bar 13 inside wall to be connected, another first threaded rod 15 and servo motor 14 output end fixed connection, two first threaded rod 15 lateral walls all fixedly cup joint with the belt pulley of 16 looks adaptations of belt, the belt pulley is located bearer bar 13, two first threaded rods 15 are spacing each other, guaranteed the back-and-forth movement that movable block 3 can be stable.
The outer side wall of the moving block 3 is fixedly connected with a moving plate 4, the outer side wall of the moving plate 4 is provided with a second moving groove 5, and a moving plate 6 and a second adjusting device for driving the moving plate 6 to move up and down are arranged in the second moving groove 5.
Specifically, second adjusting device is including the second threaded rod 17 that is vertical setting, and second threaded rod 17 bottom is rotated with second activity groove 5 inside wall and is connected, and second threaded rod 17 top runs through second activity groove 5 and is connected with handle 18, and fly leaf 6 screw thread cup joints on second threaded rod 17 lateral wall, and the lateral wall of fly leaf 6 and the inside wall contact of second activity groove 5 prevent that fly leaf 6 from rotating, have guaranteed the stable reciprocating of fly leaf 6.
Wherein, the side of the movable plate 6 far away from the movable plate 4 is fixedly connected with two mounting plates 7 which are symmetrically arranged, and a third adjusting device which is arranged between the two mounting plates 7 and drives the mounting blocks 8 to move back and forth is arranged between the two mounting plates 7.
Specifically, third adjusting device includes two-way threaded rod 19, 19 both ends of two-way threaded rod rotate with two 8 lateral walls of installation piece respectively and are connected, the screw of two 8 symmetries of installation piece cup joints on two-way threaded rod 19's lateral wall, fixedly connected with roof 20 between two mounting panels 7, 8 top fixedly connected with sliders 21 of installation piece, the spout 22 with 21 looks adaptations of slider is seted up to roof 20 lower surface, slider 21 removes along spout 22 all the time, carry on spacingly to installation piece 8, make installation piece 8 steady removal.
Wherein, fixed surface is connected with scale 23 on the fly leaf 6, and scale 23 edge keeps flushing with one side that the fly leaf 6 is close to mounting panel 7, and scale 23 is convenient for medical personnel to know the size of distance between two installation pieces 8.
8 bottom fixedly connected with montants 9 of installation piece, two first locating blocks 10 of 9 lateral walls fixedly connected with of montant, 10 lateral walls of first locating blocks rotate and are connected with arc 11, 9 lateral walls of montant be equipped with the pulling mechanism of 11 looks adaptations of arc.
Concretely, pulling mechanism establishes at the outside screw thread section of thick bamboo 24 of montant 9 including the cover, 24 tops of screw thread section of thick bamboo are connected with 8 lower surface rotations of installation piece, 24 lateral wall screw threads of screw thread section of thick bamboo have cup jointed removal section of thick bamboo 25, remove two second locating pieces 26 of 25 lateral wall fixedly connected with of removal section of thick bamboo, 26 lateral wall of second locating piece rotates and is connected with regulation pole 27, it is connected with regulating block 28 to adjust 27 bottom rotations, two 11 lateral walls of arc are seted up respectively with the regulation mouth 29 of two regulating block 28 looks adaptations, the lateral wall of screw thread section of thick bamboo 24 is equipped with the external screw thread, the inside wall of removal section of thick bamboo 25 is equipped with the internal thread, can drive removal section of thick bamboo 25 when screw thread section of thick bamboo 24 rotates like this and reciprocate.
Wherein, two 8 relative one sides of installation piece are connected with locating plate 12 through fixture, fixture include with 8 lateral wall fixed connection's of installation piece L template 30, the equal fixedly connected with spacing cardboard 31 of two relative one sides of L template 30, the draw-in groove with spacing cardboard 31 looks adaptation is seted up to 12 lateral walls of locating plate, can make the stable restriction locating plate 12's of L template 30 position like this, has guaranteed the 12 stable positions of locating plate.
The working principle of the invention is as follows:
during the use, at first take locating plate 12, rotate two-way threaded rod 19 for two installation piece 8 synchronous movement, and then drive L template 30 and spacing cardboard 31 and remove, make spacing cardboard 31 insert the draw-in groove that corresponds on locating plate 12 in, thereby guarantee the stability of locating plate 12.
Then, each threaded cylinder 24 can be synchronously rotated, at the moment, the movable cylinder 25 starts to move axially along the threaded cylinder 24, and the threaded cylinder 24 drives the second positioning block 26, the adjusting rod 27 and the adjusting block 28 to move, so that the arc plate 11 is driven to rotate, the angle of the arc plate 11 can be changed when the arc plate 11 rotates, the arc plate 11 can tightly support the side edge of the rib, and the medical staff can conveniently perform subsequent treatment work.
In addition, can start servo motor 14, servo motor 14 drives two second threaded rods 17 and rotates, the movable block 3 can be along the 17 axial back-and-forth movement of second threaded rod this moment, and then can drive locating plate 12 global movement, can adjust locating plate 12 to the position of rib fracture, be convenient for carry out treatment work, locating plate 12 is all freely adjusted with high around promptly, thereby accomplish accurate location, the normal clear of treatment work of being convenient for, the setting of arc 11 more accords with the human form simultaneously, the discomfort when having alleviateed the patient and being fixed.
The above description is only for the preferred embodiment of the present invention, but the scope of the present invention is not limited thereto, and any person skilled in the art should be considered to be within the technical scope of the present invention, and the technical solutions and the inventive concepts thereof according to the present invention should be equivalent or changed within the scope of the present invention.
Claims (7)
1. A rib fracture orthostatic fixing device for thoracic surgery comprises a supporting plate (1), and is characterized in that a first movable groove (2) is formed in the outer side wall of the supporting plate (1), and a moving block (3) and a first adjusting device for driving the moving block (3) to move back and forth are arranged in the first movable groove (2);
the outer side wall of the moving block (3) is fixedly connected with a moving plate (4), the outer side wall of the moving plate (4) is provided with a second moving groove (5), and a moving plate (6) and a second adjusting device for driving the moving plate (6) to move up and down are arranged in the second moving groove (5);
two symmetrically-arranged mounting plates (7) are fixedly connected to one side, away from the movable plate (4), of the movable plate (6), and two mounting blocks (8) and a third adjusting device for driving the mounting blocks (8) to move back and forth are arranged between the two mounting plates (7);
the bottom of the mounting block (8) is fixedly connected with a vertical rod (9), the outer side wall of the vertical rod (9) is fixedly connected with two first positioning blocks (10), the outer side wall of each first positioning block (10) is rotatably connected with an arc-shaped plate (11), and the outer side wall of the vertical rod (9) is provided with a pulling mechanism matched with the arc-shaped plate (11);
one sides of the two mounting blocks (8) opposite to each other are connected with a positioning plate (12) through a clamping mechanism;
the pulling mechanism comprises a threaded cylinder (24) sleeved outside the vertical rod (9), the top of the threaded cylinder (24) is rotatably connected with the lower surface of the mounting block (8), a movable cylinder (25) is sleeved on the outer side wall of the threaded cylinder (24) in a threaded manner, two second positioning blocks (26) are fixedly connected to the outer side wall of the movable cylinder (25), an adjusting rod (27) is rotatably connected to the outer side wall of each second positioning block (26), an adjusting block (28) is rotatably connected to the bottom of each adjusting rod (27), and adjusting openings (29) matched with the two adjusting blocks (28) are respectively formed in the outer side walls of the two arc-shaped plates (11);
the clamping mechanism comprises an L-shaped plate (30) fixedly connected with the outer side wall of the mounting block (8), two limiting clamping plates (31) fixedly connected with one opposite sides of the L-shaped plate (30), and clamping grooves matched with the limiting clamping plates (31) are formed in the outer side wall of the positioning plate (12).
2. The rib fracture orthostatic fixing device for thoracic surgery as defined in claim 1, wherein the first adjusting device comprises a protection frame (13) fixedly connected with the rear side wall of the support plate (1), a servo motor (14) is fixedly connected with the inner side wall of the protection frame (13), two first threaded rods (15) are rotatably connected with the inner side wall of the first movable groove (2), the moving block (3) is sleeved on the outer side walls of the two first threaded rods (15) in a threaded manner, the rear ends of the two first threaded rods (15) extend into the protection frame (13) and are in transmission connection through a belt (16), one of the first threaded rods (15) is rotatably connected with the inner side wall of the protection frame (13), and the other first threaded rod (15) is fixedly connected with the output end of the servo motor (14).
3. The rib fracture orthopedics fixing device for thoracic surgery as in claim 2, wherein the two first threaded rods (15) are fixedly sleeved on the outer side walls with belt pulleys adapted to the belt (16), and the belt pulleys are arranged in the protective frame (13).
4. The thoracic surgery rib fracture orthostatic fixing device of claim 1, wherein the second adjusting device comprises a second threaded rod (17) which is vertically arranged, the bottom of the second threaded rod (17) is rotatably connected with the inner side wall of the second movable groove (5), the top of the second threaded rod (17) penetrates through the second movable groove (5) and is connected with a handle (18), and the movable plate (6) is threaded on the outer side wall of the second threaded rod (17).
5. The rib fracture orthophoria fixing device for thoracic surgery as recited in claim 1, wherein the third adjusting device comprises a two-way threaded rod (19), both ends of the two-way threaded rod (19) are respectively connected with the outer side walls of the two mounting blocks (8) in a rotating way, and the two mounting blocks (8) are symmetrically sleeved on the outer side wall of the two-way threaded rod (19) in a threaded way.
6. The rib fracture orthostatic fixing device for thoracic surgery as defined in claim 1, wherein a top plate (20) is fixedly connected between the two mounting plates (7), a sliding block (21) is fixedly connected to the top of the mounting block (8), and a sliding groove (22) matched with the sliding block (21) is formed on the lower surface of the top plate (20).
7. The rib fracture orthophoria fixing device for thoracic surgery department according to claim 1, wherein a graduated scale (23) is fixedly connected to the upper surface of the movable plate (6), and the edge of the graduated scale (23) is flush with the side of the movable plate (6) close to the mounting plate (7).
Priority Applications (1)
| Application Number | Priority Date | Filing Date | Title |
|---|---|---|---|
| CN202010557229.0A CN111658173B (en) | 2020-06-18 | 2020-06-18 | Rib fracture orthostatic fixing device for thoracic surgery |
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| Application Number | Priority Date | Filing Date | Title |
|---|---|---|---|
| CN202010557229.0A CN111658173B (en) | 2020-06-18 | 2020-06-18 | Rib fracture orthostatic fixing device for thoracic surgery |
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| CN111658173A CN111658173A (en) | 2020-09-15 |
| CN111658173B true CN111658173B (en) | 2021-06-15 |
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| CN202010557229.0A Active CN111658173B (en) | 2020-06-18 | 2020-06-18 | Rib fracture orthostatic fixing device for thoracic surgery |
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Families Citing this family (1)
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| CN112716731A (en) * | 2020-12-25 | 2021-04-30 | 青岛大学附属医院 | Auxiliary supporting device based on throat and head and neck surgical operation |
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| US9561064B2 (en) * | 2012-11-21 | 2017-02-07 | Pioneer Surgical Technology, Inc. | Bone plate system and method |
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| CN2220241Y (en) * | 1995-04-05 | 1996-02-21 | 李泮泉 | One-way controlled rib bow drawing device |
| US6024759A (en) * | 1998-05-08 | 2000-02-15 | Walter Lorenz Surgical, Inc. | Method and apparatus for performing pectus excavatum repair |
| CN1421181A (en) * | 2002-12-31 | 2003-06-04 | 中国人民解放军南京军区南京总医院 | 3D positioner for thoracolumbar vertebra arch pedicle |
| CN201524131U (en) * | 2009-11-17 | 2010-07-14 | 李京珍 | Rib fracture reduction fixing device |
| CN204147109U (en) * | 2014-10-19 | 2015-02-11 | 台中惠 | A kind of novel orthopaedics fixation clamp |
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| CN111658173A (en) | 2020-09-15 |
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